Leddy J P
Hand Clin. 1985 Feb;1(1):77-83.
Many physicians and trainers are not aware of the entity of avulsion of the profundus tendon insertion. This is unfortunate, since early diagnosis and prompt surgical treatment generally produce the best result. Late, untreated patients who are asymptomatic are best left alone. For late instability of the DIP joint, fusion should be considered. A one- to two-stage flexor tendon graft can be performed in carefully selected, untreated patients, but the potential risks may outweigh the possible advantages in some individuals.
许多医生和训练师并不了解指深屈肌腱止点撕脱这一病症。这很不幸,因为早期诊断并及时进行手术治疗通常能取得最佳效果。对于无症状的晚期未治疗患者,最好不要干预。对于远侧指间关节的晚期不稳定,应考虑融合术。在经过精心挑选的未治疗患者中,可以进行一到两期的屈肌腱移植,但在某些个体中,潜在风险可能超过可能的益处。